MR. Bruce Bostom, PHYSICIANS ASSISTANT
NPI #1881707156 in Ft Lauderdale, Florida
Provider Information
- NPI Number
- 1881707156
- Entity Type
- Individual
- Name
- MR. Bruce Bostom, PHYSICIANS ASSISTANT
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Physician Assistant
- Credential
- PHYSICIANS ASSISTANT
- Enumeration Date
- Aug 17, 2006
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 6550 N FEDERAL HWY
- Address 2
- SUITE 512
- City
- Ft Lauderdale
- State
- Florida
- ZIP Code
- 33308-1404
- Phone
- (954) 267-8777
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physician Assistant |
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